Individual provider Active NPI

Bowen Miles, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orem, UT
National Provider Identifier
1932228103
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
137185 Issued in UT
Practice address
1028 West 950 North Suite 102
Suite 100
Orem, UT 84057
Phone
(801) 434-5437
Fax
(801) 225-7889
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 21615 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 137185 UT Primary

Addresses

Primary practice location

1028 West 950 North Suite 102
Suite 100
Orem, UT 84057

Mailing address

1028 West 950 North Suite 102
Suite 100
Orem, UT 84057
Phone (801) 434-5437

Other practice location 1

2430 Lillian Miller Pkwy
Denton, TX 76205-2909
Phone (972) 578-7800 ext. 97286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21615TXMDOrthodontics and Dentofacial Orthopedic Dentist
137185UTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Law Ortho Corp, PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1932228103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 WEST 950 NORTH SUITE 102",
            "address_2": "SUITE 100",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-434-5437",
            "fax_number": "801-225-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 WEST 950 NORTH SUITE 102",
            "address_2": "SUITE 100",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-434-5437",
            "fax_number": "801-225-7889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Lillian Miller Pkwy",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762052909",
            "country_code": "US",
            "telephone_number": "972-578-7800 x97286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "BOWEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "21615",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "137185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.